Usage Experience of a Microfibrillar Collagen Hemostat for Hemorrhage in Batson's Venous Plexus with a Sacral Fracture

DOI Web Site Web Site 6 References Open Access
  • SUDA Ryuichiro
    Department of Surgery, Kimitsu Chuo Hospital Department of Surgery, National Center for Global Health and Medicine

Bibliographic Information

Other Title
  • 局所止血材により止血した仙骨骨折に伴うBatson静脈叢出血の1例
  • 症例 局所止血材により止血した仙骨骨折に伴うBatson静脈叢出血の1例
  • ショウレイ キョクショ シケツザイ ニ ヨリ シケツ シタ センコツ コッセツ ニ トモナウ Batson ジョウミャクソウシュッケツ ノ 1レイ

Search this article

Description

Sacral fracture has a high frequency of fatal shock when the internal vertebral venous plexus (Batson's venous plexus) around the spinal canal develops hemorrhage after damage by bone fragments. We report a case in which a microfibrillar collagen hemostat was used for hemorrhage in Batson's venous plexus ; we considered such a useful hemostatic method when other methods are ineffective. The patient was a 29-year-old man with an impalement injury at the perineal region caused by a steel column at the time of his fall. An emergency laparotomy with computed tomography was performed for intraabdominal hemorrhage due to sacral fracture. The intraoperative findings revealed that the steel frame was stuck into the sacrum (S1) of Denis Zone III. When the steel frame was removed, spurting hemorrhage was observed, which was assumed to have originated from Batson's venous plexus. After gauze packing and re-laparotomy 24 hours after the primary surgery, we achieved hemostasis by using the microfibrillar collagen hemostat in the bleeding site. For hemorrhage cases in Batson's venous plexus in the presence of hemostasis difficulty due to trauma, the use of a microfibrillar collagen hemostat can be one of the options.

Journal

References(6)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top